Organization Active NPI

Bangs Ambulance, Inc.

  • Ambulance
  • Ithaca, NY
National Provider Identifier
1750391991
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
5411 Issued in NY
Legal business name
BANGS AMBULANCE, INC.
Practice address
205 W Green St
Ithaca, NY 14850-5421
Phone
(607) 273-1161
Fax
(607) 277-9281
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Timothy F Bangs
Title
President
Phone
(607) 273-1161

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 5411 NY Primary
Non-emergency Medical Transport (VAN) 343900000X 31470 NY

Addresses

Primary practice location

205 W Green St
Ithaca, NY 14850-5421

Mailing address

PO Box 6445
Ithaca, NY 14851-6445
Phone (607) 277-4911

Other identifiers 1

IdentifierTypeStateIssuer
00365779MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091201000098 NY Part B Supplier - Ambulance Service Supplier 5092854240 Practice locations: Ithaca, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0992040Bangs Ambulance Inc205 W Green Street, Ithaca, NY 14850Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

205 W Green St
Ithaca, NY 14850
Phone 6072274911323

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1750391991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6445",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148516445",
            "telephone_number": "607-277-4911",
            "fax_number": "607-277-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W GREEN ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505421",
            "telephone_number": "607-273-1161",
            "fax_number": "607-277-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANGS AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "BANGS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-273-1161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "5411",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "31470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00365779",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.